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Claim Calculations/Rates

Interim Rate and Payment Information
Periodic Interim Payment (PIP) Eligibility

SNF RUGS Rates

 Fiscal Year (FY) 14 Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Resource Utilization Group (RUG) RatesZIP file
 Fiscal Year (FY) 13 Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Resource Utilization Group (RUG) RatesZIP file
 Fiscal Year (FY) 12 Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Resource Utilization Group (RUG) RatesZIP file
Fiscal Year (FY) 11 Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Resource Utilization Group (RUG) Rateszip file
Fiscal Year (FY) 10 Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Resource Utilization Group (RUG) Rateszip file
Fiscal Year (FY) 09 Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Resource Utilization Group (RUG) Rateszip file

PRICER Calculators

CMS PPS PC Pricer(external link)

FQHC and RHC Rate Changes

Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increases (MM 4232)
Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increases (MM 5435)
Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increases (MM 5896)
Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increases (MM 6218)
Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increases (MM 6605)
Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increases (MM 7101)
MMA - Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increase – Skilled Nursing Facility (SNF) Consolidated Billing (CB) As It Applies to Services Provided by RHCs and FQHCs (MM 3575)

Hospice Rates, Cap & Wage Index

FY2005
FY2006
FY2007
FY2008
FY2009
FY2010

Swing-Bed Rates (for SNF and NF Carve-outs on Cost Report)

Swing-Bed NF Carve-Out Rates

Calendar Year 2012 Medicaid Swing-Bed NF Rates
Calendar Year 2011 Medicaid Swing-Bed NF Rates
Calendar Year 2010 Medicaid Swing-Bed NF Rates
Calendar Year 2009 Medicaid Swing-Bed NF Rates
Calendar Year 2008 Medicaid Swing-Bed NF Rates
Calendar Year 2007 Medicaid Swing-Bed NF Rates

Swing-Bed SNF Carve-Out Rates

2014 Medicare Swing-Bed SNF Rates
2013 Medicare Swing-Bed SNF Rates
2012 Medicare Swing-Bed SNF Rates
2011 Medicare Swing-Bed SNF Rates
2010 Medicare Swing-Bed SNF Rates
2009 Medicare Swing-Bed SNF Rates
2008 Medicare Swing-Bed SNF Rates
2007 Medicare Swing-Bed SNF Rates
2006 Medicare Swing-Bed SNF Rates
2005 Medicare Swing-Bed SNF Rates
States by Region for Swing Bed Rates
Update to the Prospective Payment System for Home Health Agencies for FY 2004

Organ Procurement Interim Rate

Cahaba Government Benefits Administrator is the intermediary that services all Independent Organ Procurement Organizations (IOPOs) and histocompatibility laboratories (labs). The first of each month, Cahaba updates their website with the current interim rates, additions or deletions of IOPOs and labs. You can access this information from Cahaba's websiteExternal Link.

Page Last Updated: Tuesday, 15-Jul-2014 09:19:55 CDT